| NPI | 1164675880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 2885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 03353) |
| 208M00000X Hospitalist (Licence: WV 2885) | |
| 207R00000X Internal Medicine (Licence: VA 0116021030) | |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2023-12-04 |